Maurice Wallace

NPI 1902042872 · on the registry since 2008

Practice

Address: 2645 Whiskey Rd
Suite 109
Aiken, SC 29803
Phone: (706) 339-5205
Organisation at this address: Ct Bravo, Inc.
Spine Doctors Of Aiken Llc
Chiropractic Center Of Aiken, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Chiropractor
111N00000X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-12-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina